Minerva anestesiologica
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Minerva anestesiologica · Sep 2010
Randomized Controlled TrialDifferent patterns of lung recruitment maneuvers in primary acute respiratory distress syndrome: effects on oxygenation and central hemodynamics.
The aim of this study was to test if different recruitment maneuver (RM) patterns, that achieve the same maximum pressure for the same length of time in humans, have a similar efficacy on alveolar recruitment, intrathoracic vascular pressures and flows, and on cardiac function and ventricular filling. ⋯ Given its comparable, or even superior, performance over the SI RM, we favor the PCV technique over the time-honored SI maneuver.
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Minerva anestesiologica · Sep 2010
Case ReportsLeprosy: a precipitating factor for complex regional pain syndrome.
Complex regional pain syndrome (CRPS) usually develops after trauma. We are reporting the first case of CRPS with leprosy as a precipitating cause. A fifty-five-year male presented in the pain clinic with complaint of pain and swelling in the right arm. ⋯ The diagnosis of the type of CRPS was difficult in our case as no history of trauma or neurological injury was present. The presence of leprosy along with ulnar nerve thickening may be the precipitating factor for CRPS, this has not been reported so far in the literature. We managed the patient with sympathetic block along with medical therapy for chronic pain and leprosy chemotherapy.